Timmy

Well i found it bizarre as well, don’t get my wrong it would have advantages and when you think about it, it seems like a logical idea but it would end up being a tad expensive. Our ambulance stations are geographically positions for best response times and access ect. (wow that sounds really stupid) If you wana have a look at were my states ambulance stations are positioned: http://www.rav.vic.gov.au/images/area_offices.gif

Whoops I forgot American EMS isn’t government funded… Sorry. :oops: The way the station in my town works: During normal working hours, Friday and Saturday nights, there is a crew of 2 with a Merc at the ambulance station ready to roll. With 1 on standby. Out of hours, one medic takes home the Merc and the other takes there first response sedan, when there’s a call out they both respond to the scene. If there’s an incident involving a lot of patients then everyone gets called in and they have a spare GMC at the station. I do have an ambulance at my house; it lives in our barn lol… It’s a first aid unit. There’s only 3 volunteers in my division and we have 2 ambulances so we take them home so we don’t have to use our won fuel. There’s a pic in my profile if you wana have a look.

It's not that I can't handle it, just I've never heard of anything like that. Now I'm not up to speed with what you Americans do but what's wrong with sleeping in the ambulance station, or taking the ambulance back to your own residence?

What The!!??? You can't be serious?? What's the point of that? Sorry but that just shocked me!

WOW! I had no idea it was like that... Sorry guys... I'll defiantly take your advice Michael. Thanks Mate!

WOW! Apart from that being so fake. Let me list some injury’s that come to mind. - C-Spine # possibly C3/C4 - Blunt Head Trauma - Cranial Hemorrhage - Hemothorax - Traumatic Chest Injury’s - Possibly # legs and arms. - That guy could possibly attract some form of infection from all that other guys blood and him having wounds doesn’t help! Even though the guy licked his wound there was too much time in between. It was of spurted pretty much straight away otherwise. And the good old duck tape job LMAO!!!!!!! In conclusion I think that video is so fake it’s not funny!! God I love backyard wrestling… Just my opinion.

Thanks mate! Which part don’t you understand? Sorry I'm properly writing a bit kiddish.

Well I know everyone its going to love when I say this, I'm a volunteer with our local rural fire bridge as well!! To tell you the truth I was scared and intimidated by what you guy would say that’s why I haven’t posted it before... I know your going to ripe me to shreds over this. I joined 4 months ago and so far have been to 4 grass fires, 2 MVCs, House fire and a HazMat. The fire brigade is much striker than EMS. I mostly just work the pump, I've only twice held the hose lol. BTW Fire brigade here don’t rescue people from car accidents that’s rescue’s job. We just stand there and make sure the car doesn’t catch on fire while EMS rip them out. And the HazMat was only a minor fuel spill. I’m defiantly not allowed to go to big calls. And we always have a crew of 6.

So it went from freely bleeding to spurting in the air? Did he touch it or do anything to make it do that? Considering he drank it, it was probly a camera trick.

Were do you draw the line with education? There’s a difference between paramedicine and medicine. It sounds like we all might as well be doctors to run around in an ambulance. Excuse my aussieness, but what does motel rooms got to do with anything lol? Is that an American EMS saying or something?

We use Ventolin (albuterol 2.5mg) with spacer. Or nubulise Salbutamol 5mg per 2.5ml via mask. Medics can use 'T' Piece.

Thanks for your post guys Personally, I would like to see, more volunteers, better quality volunteers not just wankers! Not to have so many ranks!! Most people only care about what’s on there shoulders and not the patient. I have seen patient care put in danger while the officers had an arm-wrestle seeing who would treat him. A state officer who has no more training that what I have nilly hit our doctor.. Rule no 1. Never argue with the doctor were only first aid lol! And yes offcourse funding. Were a non-profit organisation so we depend on public donations and duty money. We only get 1% of government funding which really sucks.

If you could change anything, anything at all in EMS what would it be :?: What’s your perfect idea of EMS :?:

Your sarcasms humors me.

There’s 3 tracks were I live. 2 are covered by St John which is the organisation I'm a volunteer cadet with. St John aren’t covered to have cadets out on the track. The other track, I'm employed (they give me some pocket money lol) to be there first aider so I'm covered by Motorcycling Victoria insurance as a club official. I work under adult first aiders and a nurse. Sorry to be Confusing

I agree Asysin, cadets shouldn’t be allowed to ride emergency calls until they are at the appropriate age with appropriate training and I’d say if they were young and new without the supervision of an experienced member. The cadet program we have in Australia lets cadets go out to standbys or event coverage this being the local school fair, football match, sporting events, festivals, rodeos ect… Before there let out on standbys they must have completed a first aid course and various other training. We have weekly training nights and they are regularly assessed. There are certain rules that must be followed when cadets go out on duty. There MUST be at least 2 adult members at all events, we discourage younger cadets from attending high risk events, 2400 hrs is cut off time and no body under the age of 18 is allowed trackside at a motor sports event. There is also very strong child protection laws in place and every adult member is informed about what the cadets are capable of and there obligations to the cadets. If the adult member isn’t happy for a cadet to be with them, then they don’t go.

I agree

We use the Glasgow Coma Scare (GCS) to assess the patient’s level of consciousness. We also have a little tick box, so you tick if there alert, confused, unresponsive ect, ect. But I suppose it depends on what service you work for and how they teach you.

I want some usefull acronyms that you guys use often. I’ve done a search but didn’t really find much info. I’ll put some in that we commonly use in Australia. Feel free to add some! First Assessment: Danger Response Airway Breathing Circulation Deffibulation Asthma Assessment: Position Appearance Speech Sound Rate + Rhythm Effort Skin Pulse State of conciseness Conscious Assessment Can you hear me? Open your eyes What’s your name Squeeze my hands AMPLE History Allergies Medication Past Medical History Last Oral Intake Events Leading To Emergency NKA No Know Allergies ?# Suspected Fracture PEARL Pupils Equal & Reacting To Light LOC Loss Of Consciousness O/C With W/O Without +-+ Pupil Reaction No Pupil Reaction SS Pupils Sluggish Hx History Phx Past History Rx Doctors Orders Ca Cancer Pt Patient CAS Casualty BP Blood Pressure Temp Temperature Five Rights For Giving Medication: Right Medication Right Dose Right Time Right Conditions Right Reason

Yeh we have an awesome program! If you read my post on page 1 then there’s a brief outline of what our cadet program involves.

Oh come on the partys only getting started!!! You dont have to read nor post in here if you dont want to! :wink:

How do you quiet this site? Like I want my profile removed… I can’t believe you people go on and on about how to obey the rules, but just cause you’re a paramedic the rules don’t apply to you!! I have NEVER met a more arrogant bunch of people. In the 6 years I’ve been working beside paramedics, doctor, nurse and other health care professionals I have never been confronted with anything like you people, I’ve always got along with them and I’m mates with some of them. And none of them have a problem with me or any other cadets working with them, even the old guy who’s been in EMS 40 something years. Guys I’m not saying that I’m experienced or fully qualified, I’m the first person to admit that but I’m getting experience and help/advice from people who have been doing this for years. Christ the other day I worked a job with the commissioner of St John Ambulance who is THE professor of cardiology at the Alfred hospital, it cant get much better than that. I regularly work with university professors and instructors like, how good is that; I’m 16 and getting supervised by people who teach real paramedics. What a head start. I’ve already made friends with the people who will teach me if I become a paramedic. I can’t believe you don’t think first aid squads aren’t any good!! The only reason why I work with all professors ect is because the 4th year medical students do some of there rural rotation/clinical experience with us. You have no idea how good it is and how much you learn when you’re working with 4th years at a spinal at motocross with professors telling us what to do. You learn so much!! And how dare you sit there and tell me how immature I am. You don’t work with me and you don’t know me. You have based your judgment purely on what I have written on this website. Guys seriously grow up!! Think outside the square!! Life’s 2 short!

Ok I promise from the bottom of my heart this is my last post!!  Today I saved a paramedic!! From getting fired and maybe even jail! (yes that’s right I’m only 16) Oh and guess what?? They were a Intensive care medic and a RN specializing in ED with years and years and year of experience … Guys it doesn’t matter how good you are or how much experience you have, you can still stuff up. In case anyone was wonder she was going to give a patient in renal kidney failure penthrane witch would of killed him. I’m not gloating or anything. You’re the only people I’m going to tell. But it goes to show that cadets can be good! Oh and don’t eva eva pick on the first aid squads… We might only be first aid but we know how to get back at medic really good! As a final thing. Just in case anyone hasn’t notice, you guys only pick on the young peoples spelling. I have read ova a few posts, were the ‘more experienced’ critical care paramedics or nurse or what ever have made mistakes. Everyone just reads over it and gets on with the question at hand, they don’t comments on there grammar errors. Ahhh to have a perfect world…..

I agree with everyone when they say that kids shouldn't be allowed to ride emergency calls on the ambulance. I had never heard of kids going out on the emergency ambulance before I came to this site. I my self have never worked on an ambulance. Just event coverage or standbys. I have never been on a run to a hospital or anything like that. I've done clinical placement with a private patient transport company but that’s about all. They don't do call outs just transport from hospital to hospital. I understand that you are just trying to protect the young kids from seeing stuff they shouldn’t see and all that. I'm fully aware of what can happen out there but trust me I wouldn’t be doing this unless I can handle it. I know it sounds really arrogant but I have had opportunities to attend some really horrific type events and have knocked the offer back. I always think about what I'm getting my self into before I go. I know I'm not ready to see really traumatic patient that’s why I choose not to do that sort of stuff. When things do get a bit stressful or we've had a bad day we always have a debrief session and they seem to help. I know I've made myself appear to be the little hell raiser, but I'm not. If someone is with me that has more experience or is more qualified I always let them treat the patient. I even let the less experienced or new people treat them before I will. I know when to back off and let the professionals in. It also depends on the individual. I would agree that the majority of EMS cadets shouldn’t be allowed anywhere near a patient, it just depends on how they can handle it, training, experiences ect. ect. ect. I am probably missing out on my teenage hood, but that’s my choice, I like doing first aid and helping people.

I agree with hammerpcp its not only the trauma we see but it can be the patients last words, or when the little kid looks you in the eye or when there’s nothing you can do for the patient, those hurt the most. Last year when I was on holidays with my family we stoped at an MVA cars vs semi trailer. You couldn't tell that it was a car, you couldn’t tell if the occupants inside were human, there was that much destruction. When the ambulance finally arrived, the medic jumped out and ran over to the car screaming. It was his whole family. He'd lost his wife, kids and brother. That medic unfortunately took his life. Things like that are just devastating, You can also have ‘what could I have done better to help that patient’ or ‘did I do that right’ playing over and over in your head.